Cardiac Surgery
RCT | Nighttime dexmedetomidine for delirium prevention in non-mechanically ventilated patients after cardiac surgery
1 Feb, 2023 | 12:58h | UTC
M-A | Colchicine for prevention of post-operative atrial fibrillation
27 Jan, 2023 | 12:03h | UTC
M-A | Effects of ultrasound-guided regional anesthesia in cardiac surgery
20 Jan, 2023 | 14:35h | UTC
Review | Surgical site infection prevention
18 Jan, 2023 | 14:31h | UTCSurgical Site Infection Prevention: A Review – JAMA (free for a limited period)
Author interview: Surgical Site Infection Prevention – JAMA
Related:
Global guidelines on the prevention of surgical site infection – World Health Organization
AAOS Guideline: Prevention of surgical site infections after major extremity trauma.
RCT | In patients undergoing cardiac surgery, intravenous high-dose selenium did not reduce morbidity or mortality
15 Jan, 2023 | 20:00h | UTC
Commentary on Twitter
In this study, high-dose sodium selenite was not effective in reducing the development of organ dysfunction and death in high-risk cardiac surgery patients. @CStoppe @CriticalCa https://t.co/H3HR1u1HhU
— JAMA Surgery (@JAMASurgery) January 12, 2023
Study suggests delivering high concentrations of antibiotics into the implantation site is feasible for infections in implanted CV electronic devices
13 Jan, 2023 | 13:26h | UTCRegional Antibiotic Delivery for Implanted Cardiovascular Electronic Device Infections – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries:
Direct Delivery of Antibiotics to CV Device Pocket Infections Appears Promising – TCTMD
Consensus Document | Management of infants and neonates with tetralogy of Fallot
11 Jan, 2023 | 14:21h | UTC
Commentary on Twitter
AATS announces the publication of “The Management of Infants and Neonates with Tetralogy of Fallot" in #JTCVS! Read the AATS 2022 Expert Consensus Document here: https://t.co/gyWgSkZ6BB @EHStephensCHD @abgoldstoneMD @LCKaneMD @RickOhyeMD @Dr_dUdekem @tssmn #CHD #tetralogyofFallot pic.twitter.com/5nam4bpfbN
— AATS Journals (@AATSJournals) October 27, 2022
SR | Prothrombin complex concentrate in cardiac surgery for the treatment of coagulopathic bleeding.
24 Nov, 2022 | 13:24h | UTC
M-A | Epidemiology of persistent postoperative opioid use after cardiac surgery.
21 Nov, 2022 | 13:36h | UTC
Matched cohort study | Long-term clinical and radiographic outcomes in patients with clinically isolated aortitis.
11 Nov, 2022 | 13:43h | UTC
RCT | Volatile anesthesia did not significantly reduce postoperative delirium compared to IV anesthesia in cardiac valve surgery.
11 Nov, 2022 | 12:59h | UTCVolatile Versus Total Intravenous Anesthesia on Postoperative Delirium in Adult Patients Undergoing Cardiac Valve Surgery: A Randomized Clinical Trial – Anesthesia & Analgesia (link to abstract – $ for full-text)
Review | Diagnosis of cardiac surgery-associated acute kidney injury.
10 Nov, 2022 | 13:27h | UTCRelated:
Clinical practice update for management of acute kidney injury associated with cardiac surgery.
RCT | In infants undergoing heart surgery, prophylactic methylprednisolone did not significantly improve outcomes.
9 Nov, 2022 | 12:31h | UTCMethylprednisolone for Heart Surgery in Infants — A Randomized, Controlled Trial – New England Journal of Medicine (link to abstract – $ for full-text)
News Release: Steroids during surgery may not be helpful for infants having heart bypass – American Heart Association
Commentary on Twitter
In this randomized, controlled trial involving infants undergoing surgery with cardiopulmonary bypass, prophylactic use of methylprednisolone did not significantly reduce the likelihood of a worse outcome. #AHA22 https://t.co/jaza6JCAuk pic.twitter.com/lLrxci7SaE
— NEJM (@NEJM) November 6, 2022
Study Commentary | Radial artery beats both right internal thoracic artery and vein grafting at 15 years.
9 Nov, 2022 | 12:28h | UTC(Not published yet, presented at the American Heart Association Scientific Sessions, November 6, 2022)
RAPCO: Radial Artery Beats Both RITA and Vein Grafting at 15 Years – TCTMD
See also:
Related:
Meta-Analysis: Radial-Artery vs Saphenous-Vein Grafts in CABG
M-A | Strategies for post–cardiac surgery acute kidney injury prevention.
9 Nov, 2022 | 12:19h | UTC
2022 ACC/AHA Guideline for the diagnosis and management of aortic disease.
3 Nov, 2022 | 14:21h | UTCNews Release: ACC, AHA Issue Aortic Disease Guideline – American Heart Association
ACCP Guideline | Perioperative management of antithrombotic therapy.
1 Nov, 2022 | 12:18h | UTCExecutive Summary: Perioperative Management of Antithrombotic Therapy: An American College of Chest Physicians Clinical Practice Guideline – CHEST
Commentary on Twitter
2022 guideline for perioperative management of VKAs, heparin bridging, DOACs & antiplatelets
Pts requiring elective surgery, in general,🛑💊 before surgery
👉VKAs 3-5d
👉DOACS 1-2d
👉P2Y12 receptor inhibitors 3-7d✅drug specificshttps://t.co/RYNrEOovRe @SCCM_Surgery @SCCM_CPP— Sandra L. Kane-Gill, PharmD, MSc, FCCP, FCCM (@SCCMPresident) August 26, 2022
M-A of RCT | Analgesic efficacy and risk of low-to-medium dose intrathecal morphine in patients undergoing cardiac surgery.
25 Oct, 2022 | 13:10h | UTC
Clinical practice update for management of acute kidney injury associated with cardiac surgery.
20 Oct, 2022 | 12:31h | UTCSociety of Cardiovascular Anesthesiologists Clinical Practice Update for Management of Acute Kidney Injury Associated With Cardiac Surgery – Anesthesia & Analgesia (free for a limited period)
Commentary on Twitter
The @scahq Clinical Practice Update for Management of Acute Kidney Injury Associated With Cardiac Surgery https://t.co/miFP5MkbnL @iars360
Potential renoprotective benefit:
❤️Goal-directed oxygen delivery on CPB
❤️KDIGO
❤️The use of vasopressin in vasoplegic shock pic.twitter.com/S9O2RtIhIr— Anesthesia&Analgesia (@IARS_Journals) October 13, 2022
Cohort Study | Association of thoracic aortic aneurysm size with long-term patient outcomes.
6 Oct, 2022 | 13:47h | UTCAssociation of Thoracic Aortic Aneurysm Size With Long-term Patient Outcomes: The KP-TAA Study – JAMA Cardiology (free for a limited period)
Commentary on Twitter
Risk of dissection is low for non-syndromic pts with ascending aortic aneurysm. Risk higher w larger size, but with a 6.0cm inflection point, early surgery for Pts <5.5 cm should be selective, as the risks from aortic surgery may outweigh the benefits. https://t.co/Mgf1TtHkzr
— JAMA Cardiology (@JAMACardio) October 5, 2022
Current updates in acute traumatic aortic injury: radiologic diagnosis and management.
30 Sep, 2022 | 12:36h | UTC
Review | Regional anesthesia and acute perioperative pain management in thoracic surgery.
30 Sep, 2022 | 12:32h | UTC
Opinion | Tranexamic acid for safer surgery: the time is now.
7 Sep, 2022 | 12:37h | UTCTranexamic acid for safer surgery: the time is now – British Journal of Surgery
Related:
Update on applications and limitations of perioperative tranexamic acid.
JCS 2022 Guideline on management and re-interventional therapy in patients with congenital heart disease in the long-term after the initial repair.
2 Sep, 2022 | 13:10h | UTC
Review | Invasive and noninvasive cardiovascular monitoring options for cardiac surgery.
30 Aug, 2022 | 12:03h | UTCInvasive and noninvasive cardiovascular monitoring options for cardiac surgery – JTCVS Open